| NPI | 1770184657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013455) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1630-4514C) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |